Jordi Casabona CEEISCAT

Transcription

1 Jordi Casabona CEEISCAT

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3 Purpose : To contribute to promote early HIV diagnosis in Europe by means of improving the implementation, monitoring and evaluation of community-based counseling and testing practices (CBVCT) HIV-COBATEST HIV Community COBATEST based testing practices in ( ) Europe GOs 16 NGOs 19 countries

4 Work Packages Core WP : 4. Cross-national survey on the implementation of CBVCT programmes (Regione Veneto/ULSS 20, Italy) 5. Qualitative study and code of good practice for the implementation of CBVCT programmes and services (AIDES, France) 6. Core group of indicators to monitor HIV diagnosis from VCT services. (Institute of Public Health, Slovenia) 7. Standardised protocol for data collection from CBVCT centres (EEISCAT, Spain) 8. Acceptability, feasibility, and impact of introducing the rapid oral test in the CBVCT network (CEEISCAT, Spain)

5 Michele Breveglieri Martina Furegato Available at or by specific request

6 COBATEST definition: "CBVCT is any program or service that offers HIV counselling and testing on a voluntary basis outside the formal health facilities and that has been designed to target specific groups of the population most at risk and is clearly adapted for and accessible to those communities. Moreover, these services should ensure the active participation of the community with the involvement of community representatives either in planning or implementing HIV testing interventions and estrategies" Epidemiological concept Epidemiological concept Community concept Community concept

7 Cross-national survey on the implementation of CBVCT programmes Michele Breveglieri Martina Furegato Ufficio Relazioni Internazionali ULSS20 Veneto Region (Italy) Lack of a standard definition 80% NFPs reported presence of CBVCTs 50 % testing is always free 56 % have regulations on CBVCTs 64% has some recommendation on rapid testing...

8 8 % pre-test counselling and 5 % post-test counselling medicalized 44 % rapid test, 73 % finger prick and 4 % oral fluid testing 45 % standard test, 80 % referral to health setting in place 71 % actual procedure for linkage to care...

9 Core group of indicators to monitor HIV diagnosis from VCT services Irena Klavs. National Institute of Public Health (Slovenia) Total number of suggested indicators: Mandatory indicators 5 optional indicators 2 additional indicators Basic (11 indicators): Activity and previous HIV tests: 4 indicators Screening and confirmatory results: 5 indicators Post test counselling: 2 indicators Optional (5 indicators): Pre and post test counselling: 3 Cost per tested and diagnosed client: 2 Additional (2 indicators): Linkage to care: 1 Late presenters: 1

10 European Network of CBVCT services and programmes. Laura Fernàndez, Cristina Agustí, Jordi Casabona STANDARDIZED DATA COLLECTION FORMS WEB BASED APPS FOR DATA COLLECTION

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12 The main general objective of the HIV-COBATEST project is to promote early diagnosis of HIV infection in Europe by improving the implementation and evaluation of community-based testing practices.

13 Community based Quality assurance Sinergetic Targeted Monitorized Community-public health partnership

14 THE COBATEST PROJECT HAS CONTRIBUTED TO : consolidated the concept of Community Based Testing in Europe increased policy awarness on CBVCT at country level produced and updated data set on current CBVCT resources in Europe facilitated and strengthening alliances between NGOs-GOs- academic institutions and private sector HAS CREATED A MOMENTUM stablished a network to perform community based operational and implementation research provided harmonized data collection instruments and indicators to be used accross countries improved monitoring and evaluation of services and programs introduced rapid testing in countries where they were not accepted/allowed...

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16 EUROPEAN HIV EARLY DIAGNOSIS AND ACCESS TO TREATMENT PROJECT EURO HIV-EDAT PROJECT ( ) HIV- COBATEST HIV Communi ty based testing practices in Europe ( ) 11 GOs 19 NGOs 4 Public Health research groups 18 countries Purpose: To generate operational knowledge to better understand the role and impact of Community Based Voluntary Counselling and Testing services (CBVCTs) across Europe, as well as to study the use of innovative strategies based on new technologies networks, to increase early HIV/STI diagnosis and treatment among the most vulnerable groups.

17 Core WP: 4. Standardised data collection and analysis from the COBATEST network of CBVCT services for monitoring and evaluation (Institute of Public Health, Slovenia) 5. Longitudinal analysis of clients attending MSM Checkpoints (ICO- CEEISCAT, Catalonia, Spain) 6. Data collection on Point of Care and linkage to health services for HIV/STI in MSM Checkpoints (AIDS Fondet, Denmark). 7. Development of a Toolkit for implementation and evaluation of MSM Checkpoints (AIDS-Hilfe, Germany) 8. Rapid assessment on access to HIV testing and care for migrant populations in Europe (AIDES, France) 9. KAP/B survey ON SELF-TESTING (Instituto Carlos III, Madrid, Spain ) and outreach web based pilot intervention (Institute Tropical Medicine, Antwerp)

18 COBATEST NETWORK CBVCT participating: 59 CBVCTs of 16 European countries 20 CBVCT services from those 59 are using the data entry tool

19 COBATEST CBVCT network DEVO network (Catalonia) Algarabía (Tenerife) Quérote mais (Galicia) CATS (Murcia) AVACOS (Valencia) COGAM (Madrid) ALAS (Balears) ACCAS (Cantabria) Andalusia network Other SPAIN Lazos Pro Solidaridades (Ferrol, Galicia) OMSIDA (Zaragoza) SIDALAVA (Vitoria-Gasteiz) LAMBDA (Valencia) Other European AIDS Hilfe (Germany) STOP AIDS (Denmark) Ceska spolecnost AIDS pomoc (Chez Republic) CBVCT network Poland AIDES (France) LEGEBITRA (Slovenia) Help Centre (Belgium) ARAS (Romania). CheckpointLX (Portugal) PRAKSIS (Greece) DEMETRA (Lituania) LASS (UK) countries 59 CBVCTs of 16 European countries LILA MILANO (Italy) DEVO Network

20 COBATEST NETWORK DATA FROM DATA ENTRY TOOL (preliminary analysis) Type of HIV tests performed Type of HIV test N % Rapid blood test % Rapid oral test % Conventional test % Data from 20/59 CBVCT services 85% started entered data on January 2014

21 Proportion of clients with reactive screening HIV test result All Males Females <25 >=25 MSM % of clients with reactive screening HIV test result 2.6% 2.6% % 2.61% Numerator: N of clients with reactive screening HIV test result Denominator: N of clients tested for HIV with a screening test SW % of clients with reactive screening HIV test result 3.86% 5.11% 1.94% 5.97% 3.42% Numerator: N of clients with reactive screening HIV test result Denominator: N of clients tested for HIV with a screening test IDU % of clients with reactive screening HIV test result 3.15% 3.23% 2.94% 0% 3.92% Numerator: N of clients with reactive screening HIV test result Denominator: N of clients tested for HIV with a screening test Migrants % of clients with reactive screening HIV test result 3.19% 3.27% 2.43% 3.70% 3.28% Numerator: N of clients with reactive screening HIV test result Denominator: N of clients tested for HIV with a screening test All % of clients with reactive screening HIV test result 1.81% 1.93% 1.09% 1.51% 2.0% Numerator: N of clients with reactive screening HIV test result Denominator: N of clients tested for HIV with a screening test

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23 Preventive Intervention Guidance development (good practice and toolkits) Monitoring and evaluation data New Technologies Networks Assessment on testing policies and practices

24 Thank you!